두경부에 국한된 Stage Ⅰ, Ⅱ, Non-Hodgkin's Lymphoma의 방사선치료

Radiotherapy of Stage Ⅰ and Ⅱ localized Head and Neck Non-Hodgkin's Lymphoma

53 patients of previously untreated Stage Ⅰ&Ⅱ Non-Hodgkin's Lymphoma in head and neck treated with irradiation at Yonsei Cancer Center from January, 1970 to December, 1978 were retrospectively analyzed. 5year survival rate and 5 year disease free survival rate were 51.5% and 42%, Local control rate by irradiation was 92.4% with mainly 4000~6000 rads. 21 patients suffered relapses after radiotherapy, 4 cases recurred within irradiated area, 4 cases at contiguous site of irradiation field, and 13 cases recurred at distant area, more commonly below diaphragm. Most cases relapsed within 1 year 6 months after treatment. Optimum irradiation field for head and neck localized lymphoma, prognostic factors and usefulness of chemotherapy are also discussed.